Sleepless Nights in Rehab? How Sleep Quality Impacts Recovery
"Discover the surprising link between poor sleep during post-acute rehabilitation and increased mortality risk, and learn practical ways to improve sleep quality for better recovery."
We're living longer than ever, thanks to advances in healthcare and living standards. At the beginning of the 20th century, the average life expectancy was 47.3 years. One hundred years later, in 2000, it had increased to 77.5 years. But, with shorter hospital stays becoming the norm, more people than ever need post-acute rehabilitation to regain their strength and independence. This includes physical and occupational therapy and skilled nursing care.
Post-acute rehab can take place in various settings, from skilled nursing facilities (SNFs) to in-patient rehabilitation facilities (IRFs). While these facilities provide essential care, they also present unique challenges, especially regarding sleep.
A new study sheds light on the critical role sleep plays in the recovery of older adults in post-acute rehabilitation. The research highlights a concerning link between poor sleep quality and a higher risk of mortality. Let’s dive into why sleep is often disrupted in these settings and what steps can be taken to improve it, for better patient outcomes.
Why is Sleep So Bad in Rehab Facilities?

It's no secret that hospitals and rehab facilities aren't exactly known for being peaceful places to catch some ZZZs. But the reasons behind poor sleep in post-acute care settings are more complex than just noisy environments. Many factors conspire to make it difficult for patients to get the rest they need.
- Unfamiliar Surroundings: New environments can trigger stress and anxiety, making it harder to fall asleep and stay asleep.
- Environmental Factors: Excess noise and light pollution are common culprits, disrupting sleep patterns.
- Healthcare Interruptions: Frequent nighttime checks, medication administration, and other necessary medical procedures can fragment sleep.
Better Sleep, Better Recovery: What Can Be Done?
So, how can we tackle the issue of poor sleep in post-acute rehabilitation? The good news is that it's possible to make a real difference by prioritizing sleep and implementing evidence-based strategies.
The study by Martin and colleagues highlights the need for more research into sleep disorders among rehabilitation patients. Future studies should focus on specific sleep disorders such as sleep apnea and how they effect patient recovery. Objective or subjective assessment tools need to be developed that are robust enough to function in facility-based settings where older patients may have impaired cognitive function and recall of recent past events, such as their prior night's sleep.
Ultimately, creating a sleep-friendly environment and addressing individual sleep needs can significantly improve the recovery journey for older adults in post-acute rehabilitation. By making sleep a priority, healthcare providers can unlock the potential for better patient outcomes and improved quality of life.